Monthly Manufacturers Report - Alabama Department Of Revenue
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1
2A
D
R
TOB: MANUF
2/10
LABAMA
EPARTMENT OF
EVENUE
S
, U
& B
T
D
ALES
SE
USINESS
AX
IVISION
Checked by: ___________
T
T
S
OBACCO
AX
ECTION
P.O. Box 327555 • Montgomery , AL 36132-7555 • (334) 242-9627
Reset
Monthly Manufacturers Report
For the Month of ____________________, ________
COMPANY NAME
FEIN / SSN
ADDRESS
TELEPHONE
(
)
–
CITY
STATE
ZIP
Invoice
Invoice
Distributor’s
Number of
Cigarettes Shipped To: Name
Cigarettes Shipped To: Address
Date
Number
Permit/Registration Number
Cigarettes
Total Cigarettes Received (Attach additional sheets as needed): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
________________________________________________
____________________________________________
___________________
Signature
Title
Date
The report is due by the 10th of the month for the preceding month’s activity.
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